<div class="modal-header">
    <button type="button" class="cancel"  ng-click="change.cancel()" aria-hidden="true">
        <i class="glyphicon glyphicon-remove"></i>
    </button>
    <h4 class="modal-title" id="modal-title">变更单位信息</h4>
</div>
<div class="modal-body ">
    <div class="panel" >
        <div class="portlet-body noborder ">
            <form class="form-horizontal">
                <div class="panel panel-default">
                    <div class="panel-heading">
                        <h4 class="panel-title">
                            <a class="accordion-toggle" data-toggle="collapse" data-parent="#accordion1" href="#collapse_1"> 备案信息 </a>
                        </h4>
                    </div>
                    <div id="collapse_1" class="panel-body panel-collapse in">
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>受理单位：
                            </label>
                            <div class="col-md-4">
                                <input type="text" class="form-control input-sm" value=""   />
                            </div>
                            <label class="control-label col-md-3">
                                <span class="required"> * </span>受理日期：
                            </label>
                            <div class="col-md-3">
                                <div class="input-group date date-picker" data-date-format="yyyy-mm-dd">
                                    <input type="text" readonly name="datepicker"  class="form-control input-sm" style=" background: #FFF;width: 100%;height: 30px; border:1px solid #CCCCCC;">
                                    <span class="input-group-btn">
                                            <button class="btn default" type="button" style="height: 30px;margin-top:3px;">
                                                <i class="fa fa-calendar" style="float: left;margin-left: -5px;margin-top: -2px;"></i>
                                            </button>
                                            </span>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>信息用途：
                            </label>
                            <div class="col-md-4">
                                <div class="mt-radio-inline">
                                    <label class="mt-radio mt-radio-outline ">
                                        <input type="radio" name="optionsRadios2" value="option2"> 信息备案
                                        <span></span>
                                    </label>
                                    <label class="mt-radio mt-radio-outline ">
                                        <input type="radio" name="optionsRadios2" value="option2"> 信息采集
                                        <span></span>
                                    </label>
                                </div>
                            </div>
                            <label class="control-label col-md-3">
                                <span class="required"> * </span>备案日期：
                            </label>
                            <div class="col-md-3">
                                <div class="input-group date date-picker" data-date-format="yyyy-mm-dd">
                                    <input type="text" readonly name="datepicker" class="form-control input-sm" style=" background: #FFF;width: 100%; border:1px solid #CCCCCC;">
                                    <span class="input-group-btn">
                                        <button class="btn default" type="button" style="height: 30px; margin-top:3px;">
                                            <i class="fa fa-calendar" style="float: left;margin-left: -5px;margin-top: -2px;"></i>
                                        </button>
                                    </span>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>备案编号：
                            </label>
                            <div class="col-md-4 ">
                                <div class="mt-radio-inline">
                                    <label class="mt-radio mt-radio-outline ">
                                        <input type="radio" name="optionsRadios1" value="option2"> 自动生成
                                        <span></span>
                                    </label>
                                    <label class="mt-radio mt-radio-outline ">
                                        <input type="radio" name="optionsRadios1" value="option2"> 手动填写
                                        <span></span>
                                    </label>
                                </div>
                            </div>
                            <div class="col-md-6">
                                <div class="col-md-3"></div>
                                <div class="col-md-4">
                                    <input type="text" class="form-control input-sm" value="" />
                                </div>
                                <div class="col-md-1" style="text-align:center;">-</div>
                                <div class="col-md-4">
                                    <input type="text" class="form-control input-sm" value="" />
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="panel panel-default">
                    <div class="panel-heading">
                        <h4 class="panel-title">
                            <a class="accordion-toggle" data-toggle="collapse" data-parent="#accordion1" href="#collapse_2"> 单位基本情况</a>
                        </h4>
                    </div>
                    <div id="collapse_2" class="panel-body panel-collapse in">
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>单位名称：
                            </label>
                            <div class="col-md-4">
                                <input type="text" class="form-control input-sm" value="" />
                            </div>
                            <label class="control-label col-md-3">
                                单位简称：
                            </label>
                            <div class="col-md-3">
                                <input type="text" class="form-control input-sm" value=""/>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>单位地址：
                            </label>
                            <div class="col-md-6">
                                <input type="text" class="form-control input-sm" value="XX省XX市XX区" style="border: none;background: #FFFFFF;" disabled="disabled" />
                            </div>
                            <div class="col-md-4">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="control-label"> * </span>
                                邮政编码：
                            </label>
                            <div class="col-md-4">
                                <input type="text" class="form-control input-sm" />
                            </div>
                            <label class="control-label col-md-3">
                                <span class="required"> * </span>
                                行政区划代码：
                            </label>
                            <div class="col-md-3">
                                <input type="text" class="form-control input-sm" />
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>
                                单位负责人：
                            </label>
                            <div class="col-md-5">
                                <label class="control-label col-md-4">
                                    姓名：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                            <div class="col-md-5">
                                <label class="control-label col-md-4">
                                    职务/职称：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <div class="col-md-offset-2 col-md-5">
                                <label class="control-label col-md-4">
                                    办公电话：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                            <div class="col-md-5">
                                <label class="control-label col-md-4">
                                    电子邮件：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>
                                责任部门：
                            </label>
                            <div class="col-md-4">
                                <input type="text" class="form-control input-sm" />
                            </div>
                            <div class="col-md-6">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2">
                                <span class="required"> * </span>
                                责任部门联系人：
                            </label>
                            <div class="col-md-5">
                                <label class="control-label col-md-4">
                                    姓名：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                            <div class="col-md-5">
                                <label class="control-label col-md-4">
                                    职务/职称：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <div class="col-md-offset-2 col-md-5">
                                <label class="control-label col-md-4">
                                    办公电话：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                            <div class="col-md-5">
                                <label class="control-label col-md-4">
                                    电子邮件：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <div class="col-md-offset-2 col-md-5">
                                <label class="control-label col-md-4">
                                    移动电话：
                                </label>
                                <div class="col-md-8">
                                    <input type="text" class="form-control input-sm" />
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2" >
                                <span class="required"> * </span>隶属关系：
                            </label>
                            <div class="col-md-10">
                                <div class="mt-checkbox-inline  col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option1"> 中央
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option2"> 省（自治区、直辖市）
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 地（区、市、州、盟）
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option4"> 县（区、市、旗）
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option5"> <font style="float: left;">其他</font><input type="text" class="form-control input-sm" style="opacity: 1;margin-left: 30px;margin-top: -5px;z-index: 999;"/>
                                        <span></span>
                                    </label>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2" >
                                <span class="required"> * </span>
                                单位类型：
                            </label>
                            <div class="col-md-10">
                                <div class="mt-checkbox-inline  col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option1"> 党委机关
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option2"> 政府机关
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 事业单位
                                        <span></span>
                                    </label>

                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option4"> 企业
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option5"> <font style="float: left;">其他</font><input type="text" class="form-control input-sm" style="opacity: 1;margin-left: 30px;margin-top: -5px;z-index: 999;"/>
                                        <span></span>
                                    </label>
                                </div>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="control-label col-md-2" >
                                <span class="required"> * </span>
                                行业类别：
                            </label>
                            <div class="col-md-10">
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option1"> 电信
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option2"> 广电
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 经营性公众互联网
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 铁路
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 银行
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 海关
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 税务
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 民航
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 电力
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 证券
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 保险
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 国防科技工业
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 公安
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 人事劳动和社会保障
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 财政
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 审计
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 商业贸易
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 国土资源
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 能源
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 交通
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 统计
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 工商行政管理
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 邮政
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 教育
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 文化
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 卫生
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 农业
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 水利
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 外交
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 发展改革
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                        <input type="checkbox"  value="option3"> 科技
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 宣传
                                        <span></span>
                                    </label>
                                    <label class="mt-checkbox mt-checkbox-outline col-md-4">
                                        <input type="checkbox"  value="option3"> 质量监督检查检疫
                                        <span></span>
                                    </label>
                                </div>
                                <div class="mt-checkbox-inline col-md-12">
                                    < <label class="mt-checkbox mt-checkbox-outline col-md-3">
                                    <input type="checkbox"  value="option5"> <font style="float: left;">其他</font><input type="text" class="form-control input-sm" style="opacity: 1;margin-left: 30px;margin-top: -5px;z-index: 999;"/>
                                    <span></span>
                                </label>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="panel panel-default">
                <div class="panel-heading">
                    <h4 class="panel-title">
                        <a class="accordion-toggle" data-toggle="collapse" data-parent="#accordion1" href="#collapse_3"> 变更原因</a>
                    </h4>
                </div>
                <div id="collapse_3" class="panel-body panel-collapse in">
                    <form class="form-horizontal noborder">
                        <div class="panel-body">
                            <div class="form-group">
                                    <label class="col-md-2 text-right" >
                                        <span class="required"> * </span>
                                        变更原因：
                                    </label>
                                    <div class="col-md-10">
                                        <textarea class="col-md-8" rows="5"></textarea>
                                    </div>
                            </div>
                            <div class="form-group">
                                    <label class=" col-md-2 text-right" >
                                        备注：
                                    </label>
                                    <div class="col-md-10">
                                        <textarea class="col-md-8" rows="5" ></textarea>
                                    </div>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
            </form>
        </div>
    </div>
</div>
<div class=" modal-footer">
    <button class="btn btn-primary" type="button" ng-click="change.save()">保存</button>&nbsp;&nbsp;
    <button class="btn btn-warning" type="button" ng-click="change.cancel()">取消</button>
</div>